Johnson, Tykema Octavia

Johnson, Tykema Octavia is an sole proprietor health care provider with primary practice located at 400 Celebration Pl , Celebration FL 34747-4970. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Johnson, Tykema Octavia can be contacted via phone (407) 303-4538.

Contact Information

Primary practice address
400 Celebration Pl Celebration FL 34747-4970
Phone: (407) 303-4538
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN9390446 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11009495 Florida

Profile Details

NPI number 1548805187
LBN Legal business name Johnson, Tykema Octavia
Credentials DNP-APRN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2019
Last updated Sep 25th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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